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目的:探讨腹式子宫全切术(TAH)、阴式子宫全切术(TVH)和腹腔镜辅助下阴式子宫全切术(LAVH)三者的临床效果。方法:回顾分析92例子宫全切患者的临床资料,其中TAH32例,TVH30例,LAVH30例。比较其手术时间、术中出血量、术后疼痛、排气时间和术后住院时间,平均住院费用。结果:LAVH组的手术时间及出血量明显多于其他两组(P<0.05);术后疼痛、排气时间和术后住院时间TAH组明显长于其他两组(P<0.05),TVH、LAVH两组比较差异无统计学意义(P>0.05);LAVH组费用明显高于其他两组(P<0.05),TVH、LAVH两组比较差异无统计学意义(P>0.05)。结论:LAVH与TVH均具有微创、术后疼痛轻、并发症少、恢复快、住院时间短等优点。尤其阴式子宫全切术(TVH)利用女性阴道这一天然的生理特点进行手术,创伤更小、盆腹腔干扰小、恢复快,费用低更符合微创的观念。
Objective: To investigate the clinical effects of total hysterectomy (TAH), vaginal hysterectomy (TVH) and laparoscopic assisted vaginal hysterectomy (LAVH). Methods: A retrospective analysis of 92 cases of hysterectomy in patients with clinical data, including 32 cases of TAH, TVH30 cases, 30 cases of LAVH. Compare the operation time, intraoperative blood loss, postoperative pain, exhaust time and postoperative hospital stay, the average cost of hospitalization. Results: The operation time and bleeding amount in LAVH group were significantly more than those in the other two groups (P <0.05). The postoperative pain, exhaust time and postoperative hospital stay in TAH group were significantly longer than those in other two groups (P <0.05), TVH, LAVH There was no significant difference between the two groups (P> 0.05). The cost of LAVH group was significantly higher than that of the other two groups (P <0.05). There was no significant difference between TVH and LAVH groups (P> 0.05). Conclusion: Both LAVH and TVH have the advantages of minimally invasive, less postoperative pain, fewer complications, faster recovery and shorter hospital stay. In particular, vaginal hysterectomy (TVH) using the natural physiological characteristics of female vagina surgery, less trauma, pelvic abdominal disruption, fast recovery, low cost more in line with the concept of minimally invasive.